Molina Healthcare

Medicare Strategy and Operations Manager

Molina Healthcare$100K — $130K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years in strategy development or operations management, preferably in healthcare
  • Proficiency in quantitative and qualitative analysis methods
  • Strong oral and written communication skills for cross-functional engagement
  • Experience with regulatory frameworks in the Medicare space
  • Proven ability to manage multiple projects and timelines effectively
  • Self-motivated with initiative to identify and solve problems
  • Familiarity with remote work dynamics and coordination across time zones

Responsibilities

  • Develop and maintain Medicare strategies tailored to specific states and products
  • Conduct market research to analyze industry trends and customer needs
  • Perform comprehensive data analyses to identify performance gaps and opportunities
  • Evaluate the impact of regulatory changes on strategies
  • Provide actionable strategic recommendations to senior leadership
  • Lead high-priority projects and initiative improvements in Medicare operations
  • Serve as a liaison between the Medicare Strategy Team and other departments

Benefits

  • Comprehensive healthcare package
  • Remote work flexibility
  • Opportunities for professional development
  • Supportive work environment with cross-functional exposure
  • Engagement with senior leaders and strategic initiatives
Full Job Description
Job Description

Job Description

The Medicare Strategy & Operations Manager role supports senior leaders in creating segment and state-specific strategies, as well as driving key strategic and operational initiatives to transform the organization. Strategy development efforts include data analysis and synthesis of regulatory, competitive, and operational insights. The incumbent will work cross-functionally with stakeholders across the enterprise and will have exposure to functional and segment leadership.

Job Duties

  • Develops and maintains state and product-specific Medicare strategies.
  • Executes market research on Medicare industry trends, competitive landscape, and customer needs.
  • Conducts quantitative and qualitative analyses using internal and external data sources to identify performance trends, risks, and opportunities across Medicare Advantage markets.
  • Assesses strategic impact of regulatory changes.
  • Provides strategic recommendations and supports decision-making processes.
  • Assists in leading and implementing high-priority projects and operational improvement initiatives throughout the Medicare segment.
  • Coordinates with cross-functional teams to drive strategic and operational alignment..
  • Takes ownership of end-to-end analysis and/or projects, ensuring thorough and actionable outcomes.
  • Act as a liaison between the Medicare Strategy Team and other departments.


Job Qualifications

  • Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
  • Strong interpersonal and communication skills (oral and written) and ability to communicate with those in all positions of the company.
  • Ability to concisely synthesize large and complex requirements.
  • Ability to organize and maintain regulatory data including real-time policy changes.
  • Ability to understand current state organization structures and business processes and identify opportunities to enhance efficiency and effectiveness.
  • Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
  • Ability to work independently in a remote environment.
  • Ability to work with those in other time zones than your own.


To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package.

About Molina Healthcare

Molina Healthcare focuses exclusively on government-sponsored health care programs for families and individuals who qualify for government-sponsored health care. It contracts with state governments and serves as a health plan, providing a wide range of quality health care services to families and individuals.

Molina Healthcare Careers

Join the dedicated team at Molina Healthcare, a leader in providing quality healthcare services to families and individuals who qualify for government-sponsored programs, including Medicaid and Medicare. As one of the most respected companies in the health services industry, Molina Healthcare offers unparalleled job opportunities aimed at empowering your career growth and professional development.

Work You’ll Do

At Molina Healthcare, you will engage in meaningful work that directly impacts lives across the country. Our team is committed to innovation in healthcare, ensuring that all members receive the best care possible. By joining us, you will collaborate with skilled professionals dedicated to our mission of providing accessible, high-quality healthcare.

Career Opportunities and Growth

Whether you are looking for your first job, seeking a leadership role, or aiming to specialize in healthcare professions, Molina Healthcare offers a range of career paths. Our job opportunities span across various functions, including clinical services, customer support, IT, project management, and more. We believe in fostering the growth of our employees through professional development, leadership training, and diversity initiatives.

Internship Programs

Kickstart your career with a Molina Healthcare internship. Our internships provide invaluable workplace experience, offering a glimpse into the healthcare industry through hands-on projects and mentorship. Interns at Molina Healthcare gain critical skills that prepare them for future employment, making them competitive candidates in the job market.

Culture and Benefits

Molina Healthcare is not just a company; it’s a community. We prioritize a culture of inclusivity and respect, where all team members are encouraged to bring their whole selves to work. Our employees enjoy comprehensive benefits, including health insurance, retirement plans, and wellness programs, all designed to support both their professional and personal lives.

Join Our Team

Explore the various positions available at Molina Healthcare and find where your skills and interests align with our needs. We are continuously hiring talented individuals who are passionate about making a difference in healthcare. Prepare your resume, sharpen your interview skills, and become part of a team that values hard work and creativity.

Stay Connected

Keep up to date with the latest at Molina Healthcare: - **Career Growth and Networking:** Advance your career through our professional development and networking opportunities. Learn from leaders and peers alike to build connections that propel your career forward. - **Innovation and Leadership:** Drive change and lead with confidence by participating in our leadership and innovation training programs.

Apply Now

Ready to take the next step in your healthcare career? Search open positions that match your skills and interests on the Molina Healthcare Jobs portal. We look for driven, curious, and compassionate team players ready to make an impact.

Stay Informed

Subscribe to Molina Healthcare job alerts and receive updates on new openings and company news directly to your inbox. Tailor your subscription to match your career preferences and stay ahead in the dynamic field of healthcare. Join Molina Healthcare, where your career is nurtured, your contributions are valued, and your growth is guaranteed.
Learn more about Molina Healthcare
Size
14,000 employees
Market Cap
$19.5 billion
Industry
Net Income
$673 million
Founded
1980
5 Year Trend
+9.3%
Revenue
$19.4 billion
NASDAQ

Similar Jobs

More Jobs at Molina Healthcare

More Healthcare Jobs

Find similar Medicare Strategy and Operations Manager jobs: